Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.78 / $425.78 / $2,045.39	Facility		$425.78	$425.78	$2,045.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $425.78 / $2,045.39	Professional		$319.01	$425.78	$2,045.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $1,086.76 / $2,250.29	Facility		$323.33	$1,086.76	$2,250.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.17 / $433.10 / $659.29	Professional		$355.17	$433.10	$659.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $839.28 / $1,498.72	Facility		$97.00	$839.28	$1,498.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $940.60 / $2,191.00	Professional		$100.00	$940.60	$2,191.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.58 / $458.59 / $458.59	Facility		$331.58	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $472.35	Professional		$334.77	$334.77	$472.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $161.38 / $779.80	Professional		$134.47	$161.38	$779.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $496.24 / $1,077.54	Professional		$425.35	$496.24	$1,077.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.09 / $3,780.88 / $3,780.88	Facility		$1,439.09	$3,780.88	$3,780.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,707.20 / $4,707.20 / $5,316.83	Professional		$4,707.20	$4,707.20	$5,316.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,733.64 / $1,733.64 / $1,733.64	Professional		$1,733.64	$1,733.64	$1,733.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $635.54 / $744.36	Facility		$228.32	$635.54	$744.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $458.59 / $722.18	Professional		$334.77	$458.59	$722.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,338.05 / $1,338.05 / $1,338.05	Professional		$1,338.05	$1,338.05	$1,338.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $228.62 / $567.13	Professional		$134.47	$228.62	$567.13
United Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $381.96 / $799.13	Professional		$336.55	$381.96	$799.13